<div class="home_box">
    <div style="padding: 5px;overflow: hidden;margin-top: 10px;">
        <div class="col-sm-12" style="border-bottom: 1px solid #cccccc"><h4>个人信息</h4></div>
        <div class="col-sm-12">
            <ul class="ul_flex">
                <li>
                    <ul>
                        <li><span>病历号：</span>${customerInfo1.medicalRecordNumber}</li>
                        <li><span>姓名：</span>${customerInfo1.customerName}</li>
                        <li><span>年龄：</span>${customerInfo1.customerAge}</li>
                        <li><span>电话：</span>${customerInfo1.customerPhone}</li>
                        <li><span>电话使用人：</span>${customerInfo1.phoneSharShip}</li>
                        <li><span>座机：</span>${customerInfo1.customerPhone2}</li>
                        <li><span>推荐人：</span>${customerInfo1.referee}</li>
                    </ul>
                </li>
                <li>
                    <ul>
                        <li><span>性别：</span>${customerInfo1.sex}</li>
                        <li><span>状态：</span>${customerInfo1.status}</li>
                        <li><span>QQ号：</span>${customerInfo1.qqNumber}</li>
                        <li><span>微信号：</span>${customerInfo1.wechatNumber}</li>
                        <li><span>身份证：</span>${customerInfo1.idCardNo}</li>
                        <li><span>婚姻状况：</span>${customerInfo1.maritalStatusName}</li>
                        <li><span>推荐人关系：</span>${customerInfo1.refereeShip}</li>
                    </ul>
                </li>
                <li>
                    <ul>
                        <li><span>生日：</span>${customerInfo1.birthday}</li>
                        <li><span>省份：</span>${customerInfo1.province}</li>
                        <li><span>城市：</span>${customerInfo1.cities}</li>
                        <li><span>区域：</span>${customerInfo1.region}</li>
                        <li><span>地址：</span>${customerInfo1.address}</li>
                        <li><span>黄页编号：</span>${customerInfo1.yellowNumber}</li>
                        <li><span>正畸编号：</span>${customerInfo1.orthodonticNumber}</li>
                    </ul>
                </li>
            </ul>
        </div>
    </div>
    <div style="padding: 10px;overflow: hidden;">
        <div class="col-sm-12" style="border-bottom: 1px solid #cccccc"><h4>项目信息</h4></div>
        <div class="col-sm-12">
            <ul class="ul_flex">
                <li>
                    <ul>
                        <li><span>到店门诊：</span>${customerInfo1.arrivalStore}</li>
                        <li><span>首次访问病种：</span>${customerInfoFirst.appointmentPayService}</li>
                        <li><span>一级渠道：</span>${customerInfo1.oneChannel}</li>
                        <li><span>一级媒介：</span>${customerInfo1.oneMedium}</li>
                    </ul>
                </li>
                <li>
                    <ul>
                        <li><span>首次到店时间：</span>${customerInfoFirst.arrivalTime}</li>
                        <li><span>首次建档人：</span>${customerInfoFirst.archiving}</li>
                        <li><span>二级渠道：</span>${customerInfo1.twoChannel}</li>
                        <li><span>二级媒介：</span>${customerInfo1.twoMedium}</li>
                    </ul>
                </li>
                <li>
                    <ul>
                        <li><span>初诊TC：</span>${customerInfoFirst.fieldTc}</li>
                        <li><span>职业：</span>${customerInfo1.occupation}</li>
                        <li><span>三级渠道：</span>${customerInfo1.thrChannel}</li>
                        <li><span>三级媒介：</span>${customerInfo1.thrMedium}</li>
                    </ul>
                </li>
            </ul>
        </div>
    </div>
    <div>
        <div class="col-sm-12">
            <ul style="padding-left: 10px;">
                <li>
                    <p>备注</p>
                    <textarea id="remarks" name="remarks" readOnly="readOnly" rows="6" style="width: 75%">${customerInfo1.remarks}</textarea>
                </li>
            </ul>
        </div>
    </div>
</div>
